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2 sides of the physician coin: Burnout and well-being
Medscape (free login required)
The problem of physician burnout has been illuminated by a number of recent studies, including Medscape's 2015 Physician Lifestyle Report, which surveyed approximately 20,000 physicians and asked about severity of burnout, factors contributing to burnout, and its association with a range of other issues, including happiness outside of work, alcohol and marijuana use, and financial status. Burnout is not a new problem, but an emphasis on burnout prevention and physician wellness is a relatively new response. What are the strategies that are protective against burnout? Medscape spoke with Tait D. Shanafelt, M.D., a nationally recognized researcher on this topic and program director of the Physician Well-Being program at Mayo Clinic, about prevention, recognition, and interventions for physicians exhibiting signs of burnout.
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The next enrollment period for the Group Personal Excess and Umbrella Liability Policy is under way! This benefit is available to all members of AAEM. The policy provides additional protection above and beyond what is covered by your current auto, homeowners and/or watercraft & recreational vehicle insurance and is underwritten by Crum & Forster Specialty Insurance Company (“A” Rated).
Suspension of internists' recertification rules spurs broader debate about competency testing
The American Board of Internal Medicine's suspension of controversial provisions of its maintenance-of-certification program has specialists of all types looking for alternatives to the MOC programs now required by the 24 members of the American Board of Medical Specialties.
“I don't know of a specialty where the physicians are happy with their maintenance-of-certification program,” said Dr. J.P. Abenstein, a Mayo Clinic anesthesiologist who serves as president of the American Society of Anesthesiologists.
Debate heats up over safety of electronic health records
Department of Health and Human Services officials said that the safety benefits of electronic health records far outweigh any potential problems, but critics say regulators are pushing health care providers to use them while downplaying the risks to patients.
Is healthcare spending about to accelerate?
Bend a resilient object and it will spring back with a vengeance once released from your grip. Is that what is about to happen to healthcare spending? For years now, experts have been debating ways to “bend the cost curve ” – take the sharp rise in healthcare costs, picture a rapidly ascending line on a XY axis, and slow it down, bend it so it moves horizontally to the X axis.
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Medicare should split from health department, Senator Hatch says
Congress should split the agency that runs Obamacare and Medicare from the Department of Health and Human Services to keep the White House from having too much influence over its operation, Senate Finance Chairman Orrin Hatch said. The Centers for Medicare and Medicaid Services, which administers the health programs for the elderly and poor, is too big, said Hatch, a Utah Republican. The agency consumes about 85 percent of the health department’s $1 trillion budget.
Government Health IT
In December of 2014, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule governing the agency’s Accountable Care Organization (ACO) program, including the Medicare Shared Savings initiative. Providing the first official guidance in three years, the rule aims to reduce administrative burden for participating organizations, and address several other issues that have plagued the ACO program since its inception.
Relative productivity of nurse practitioner and resident physician care models in the pediatric emergency department
Pediatric Emergency Care
Duty hour restrictions limit the use of resident physicians in pediatric emergency departments (PEDs). We sought to determine the relative clinical productivity of PED attending physicians working with residents compared with PED attending physicians working with nurse practitioners (NPs).
Safety of valproic acid in patients with chronic obstructive pulmonary disease: A population-based cohort study
Pharmacoepidemiology and Drug Safety
Valproic acid is an anticonvulsant that also inhibits histone deacetylase (HDAC), a property that could worsen pulmonary function in patients with chronic obstructive pulmonary disease (COPD). The clinical significance of this property is unknown. We therefore compared the risk of COPD exacerbation in older patients with COPD commencing treatment with either valproic acid or phenytoin, an anticonvulsant that does not affect HDAC.
Do emergency medicine residents receive appropriate video laryngoscopy training?
The Journal of Emergency Medicine
Video laryngoscopy (VL) has emerged as a critical tool in the "difficult airway" armamentarium of emergency physicians. The resultant increase in the types of available VL devices has made Emergency Medicine Residency (EMR) training in VL increasingly challenging. Additionally, the prevalence of VL devices in the community is unknown. Because Emergency Medicine (EM) residents go on to work in diverse settings, many in non-EMR emergency departments (EDs), it is preferable that they receive training on the airway modalities they will encounter in practice.
How to stop the next pandemic
U.S. News & World Report
White House Ebola czar Ron Klain made some optimistic comments over the holidays about the world reaching a “pivot point” in dealing with this global health pandemic. But while we have witnessed some progress in Guinea and Liberia, there are still new cases every day. The situation in Sierra Leone has slowed but remains dire, particularly in the west of the country, as noted by the World Health Organization. United Nations Secretary General Ban Ki-moon has said that “Mitigating the consequences of Ebola will demand a coordinated global response comparable to what is being provided to end the outbreak.”
Medication issues behind 1 in 12 pediatric emergency room visits
Healthcare Professionals Network
At one Canadian children's hospital, medication-related problems accounted for one in 12 emergency department visits over a year. And about two-thirds of those incidents were preventable, the researchers concluded. The findings have been published online Feb. 2 in Pediatrics. The study findings are based on 2,028 children and teenagers — average age 6 — who arrived at a pediatric emergency department in Halifax, Nova Scotia, over the course of a year. Overall, 8 percent were considered to have "medication-related" symptoms.
Enhancing care of older adults in the emergency department: Old problems and new solutions
The dramatic increase in the number of older adults in our society is creating greater demand for age-appropriate healthcare services. Because older adults use proportionally more emergency services than any other age group, it is important to address problems and find solutions to emergency care for this vulnerable population. Older adults often need specialized care to meet complex physical and psychological needs in an emergency department (ED).
Too many hospitalized heart failure patients on IV fluids
Potentially harmful intravenous (IV) fluids are being given to too many patients with severe heart failure, according to a new study published in the Feb. 1 issue of JACC: Heart Failure. In the study, a research team looked at data from 131,430 hospitalizations of severe heart failure patients. All of the patients received IV fluids during their first two days in hospital, and 11 percent were treated with IV fluids in addition to diuretics.
How is the measles outbreak affecting the healthcare industry?
By Danielle Wegert
Douglas Coupland once said, "Adventure without risk is Disneyland." However, he clearly wasn’t considering the health risks of high-volume amusement parks, like Disneyland. But, these places are a breeding ground for disease, as was made apparent by the recent measles outbreak stemming from the theme park.
The outbreak began in December and, to date, there are 119 confirmed cases in the country.
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